104 R Form

104 R Form

The 104 R form, also known as the Planned Academic Program Worksheet, is essential for managing the Army Senior ROTC program. This form collects vital information about a student's academic plan to ensure they meet the requirements for commissioning in the Army. By outlining coursework and credit hours, it helps determine eligibility and supports the student's path toward degree completion.

Access 104 R Here

The 104 R form, known as the Planned Academic Program Worksheet, plays a crucial role in the administration of the Army Senior ROTC program. It is designed to help students outline their academic plans and ensure they meet the necessary requirements for commissioning into the Army. This form collects essential information, including the student’s name, academic major, credit hours, and grade point average. Additionally, it requires details about courses taken, including course titles, credit hours, and grades achieved. The form also includes a section for students to indicate their understanding of the academic program and its requirements. By gathering this data, the 104 R form assists in determining eligibility for continued participation in the ROTC program, thereby ensuring that students are on track to complete their degree within the stipulated time frame. Understanding the various components of this form is vital for students navigating their academic journey in the ROTC program.

Common Questions

What is the purpose of the 104 R form?

The 104 R form, also known as the Planned Academic Program Worksheet, serves to gather essential information for managing the Army Senior ROTC program. It helps in assessing whether students meet the necessary academic requirements for commissioning in the Army, as outlined by public law and Army regulations.

Who needs to fill out the 104 R form?

This form must be completed by students enrolled in the Army ROTC program. Specifically, it is designed for those who are planning their academic programs and need to demonstrate that they can fulfill the requirements for their degrees within the specified timeframe.

What information is required on the 104 R form?

Students are required to provide personal details such as their name, academic major, and the academic school they are attending. Additionally, they must outline their credit hours, grade point averages, and a detailed list of courses they plan to take, including course titles, credit hours, and grades achieved.

How does the 104 R form impact a student's ROTC scholarship?

The information provided on the 104 R form is crucial for determining a student's eligibility for ROTC scholarships. If a student is a scholarship participant, the form indicates how many semesters the scholarship will remain in effect, depending on the remaining credit hours required for their degree.

What happens if a student does not provide the required information?

Voluntary disclosure of information on the 104 R form is essential for assessing eligibility for the Army ROTC program. Failing to provide this information may result in the inability to accept, continue, or maintain enrollment in the program.

How is the 104 R form reviewed and approved?

Once completed, the 104 R form must be signed by both the student and a certifying official, such as a registrar or an examiner of credentials. This signature confirms that the outlined academic program meets the requirements for degree completion.

What is the significance of the Statement of Understanding on the 104 R form?

The Statement of Understanding affirms that the student acknowledges their academic program is formally structured and approved. It emphasizes the importance of completing the remaining credit hours necessary for obtaining their degree, thereby ensuring accountability on the part of the student.

Can students change their academic plans after submitting the 104 R form?

Yes, students may adjust their academic plans after submitting the form. However, any significant changes should be communicated to their academic advisor and may require an updated 104 R form to ensure continued compliance with ROTC program requirements.

What should a student do if they have questions about filling out the 104 R form?

If students have questions or need assistance with the 104 R form, they are encouraged to consult their academic advisor or the ROTC program staff. These individuals can provide guidance and ensure that the form is filled out accurately.

Where can students find the 104 R form?

The 104 R form is typically available through the Army ROTC program office or can be accessed online through official Army ROTC resources. Students should ensure they are using the most current version of the form.

Key takeaways

  • Complete all required fields: Ensure that the student's name, academic major, and other personal information are filled out accurately.
  • Understand the purpose: This form is essential for determining eligibility for the Army ROTC program and assessing academic progress.
  • Use accurate course information: List all courses taken, including course numbers, titles, credit hours, and grades achieved.
  • Review degree requirements: Confirm that all courses listed meet the minimum requirements for degree completion.
  • Initial and date: The student must initial and date beside each term to confirm they have been counseled on their academic plan.
  • Obtain necessary signatures: Ensure that both the student and the registrar or certifying official sign and date the form to validate it.
  • Submit on time: Complete and submit the form within the specified deadlines to avoid any delays in processing or eligibility.

Form Properties

Fact Name Details
Authority Title 10, US Code 2101 and 2104 governs the use of the 104 R form.
Principal Purpose This form collects information necessary for managing students in the Army Senior ROTC program.
Routine Use The information helps determine if an applicant meets the public law requirements for their academic program.
Voluntary Disclosure Providing information is voluntary but essential for assessing eligibility in the Army ROTC program.

Misconceptions

There are several misconceptions about the 104 R form that can lead to confusion. Here are five common ones:

  • Misconception 1: The 104 R form is only for ROTC scholarship recipients.
  • This form is used by all ROTC cadets, not just those with scholarships. It helps track academic progress and ensure that all cadets meet the necessary requirements for commissioning.

  • Misconception 2: Completing the form guarantees acceptance into the ROTC program.
  • While the form is important, acceptance into the program depends on meeting various eligibility criteria, including academic performance and other factors.

  • Misconception 3: The information on the form is not confidential.
  • In fact, the data provided is protected under the Privacy Act. It is used solely for the administration of the ROTC program.

  • Misconception 4: The form can be submitted at any time without consequences.
  • Timely submission of the 104 R form is crucial. Delays can affect a cadet's academic standing and eligibility for the program.

  • Misconception 5: Only academic performance is considered when using the form.
  • While academic performance is important, the form also takes into account the overall academic plan and progression toward degree completion.

104 R Preview

PLANNED ACADEMIC PROGRAM WORKSHEET

For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PA-C

DATA REQUIRED BY PRIVACY ACT STATEMENT OF 1974

1.AUTHORITY: Title 10, US Code 2101 and 2104

2.PRINCIPAL PURPOSE(S): To provide information and data necessary for administering the Army Senior ROTC program, processing, and managing of selected students for commissioning in the Army IAW established public law and Army Regulations.

3.ROUTINE USE(S): To provide a projected academic plan to determine if the applicant meets the public law requirements of two remaining academic years.

4.VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVIDING INFORMATION: Voluntary information is necessary to determine eligibility of the individual for acceptance,

continuance, or discontinuance in the Army ROTC program.

 

1. NAME OF STUDENT (LAST, FIRST, MI)

 

 

 

2. ACADEMIC MAJOR

 

 

2a. CIP CODE

3. AS OF DATE (MM/DD/YYYY) (Date of form preparation)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. ACADEMIC SCHOOL

 

 

 

 

 

5. CREDIT HOURS

 

 

 

 

 

6. GRADE POINT AVERAGE (GPA)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Select Semester or Quarter (S/Q)

Semester

 

 

 

Term:

 

 

 

 

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. IDENTIFICATION (Check one):

Host

 

 

 

 

 

 

 

 

 

Curr GPA:

 

 

 

CUM:

 

 

Curr GPA:

 

 

CGPA:

 

 

 

 

 

Extension Center

 

 

 

a. Total required for degree:

 

 

1

 

 

Term:

 

 

 

 

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cross-Enrolled

 

 

 

(1) ROTC Hours that do not count:

 

 

 

 

 

Curr GPA:

 

 

 

CUM:

 

 

Curr GPA:

 

 

CGPA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) Total Hours Rqd for NAPS:

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

 

 

b. HOST SCHOOL

 

 

c. HOST FICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Normal Academic Progression Standard

 

 

 

 

 

Curr GPA:

 

 

 

CUM:

 

 

Curr GPA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CGPA:

 

 

 

 

 

 

 

 

 

 

b. Credits toward degree Comp to date:

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Transfer Credits accepted:

 

 

 

 

 

Curr GPA:

 

 

 

CUM:

 

 

Curr GPA:

 

 

CGPA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Remaining for Degree:

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

Term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Number of authorized S/Qs:

 

 

 

 

 

Curr GPA:

 

 

 

CUM:

 

 

 

 

Curr GPA:

 

 

CGPA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.TERM, YEAR, COURSE NUMBER, COURSE TITLE, COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.

a.

Term:

 

Year:

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

d.

Term:

 

Year:

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

b.

 

Term:

 

Year:

 

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

e.

Term:

 

Year:

No.

 

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

c.

Term:

 

Year:

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

f.

Term:

 

Year:

 

 

 

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

8. STUDENT INITIALS & DATE:

(Have the student initial and date beside each term to indicate they have been counseled)

TERM 1:

TERM 2:

TERM 3:

TERM 4:

 

TERM 7:

TERM 5:

 

TERM 8:

 

TERM 6:

 

TERM 9:

 

USACC Form 104-R, SEP 13

Page 1 of 3

PLANNED ACADEMIC PROGRAM WORKSHEET

For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PA-C

7.TERM, YEAR, COURSE NUMBER, COURSE TITLE, COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES. (CONTINUED)

g.

Term:

 

Year:

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

h.

Term:

 

Year:

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

i.

Term:

 

Year:

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

 

j.

 

 

 

k.

 

 

 

l.

 

Term:

 

Year:

 

Term:

 

Year:

 

Term:

 

Year:

No.

Course Title

Hrs. Cts. Grd.

 

No.

Course Title

Hrs. Cts. Grd.

 

No.

Course Title

Hrs. Cts. Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

 

 

 

 

 

Total Term Hours:

 

 

 

 

 

Total Term Hours:

 

 

 

 

 

 

m.

 

 

 

 

 

 

n.

 

 

 

 

 

o.

 

 

 

 

 

Term:

 

 

Year:

 

Term:

 

 

Year:

 

Term:

 

 

Year:

 

 

No.

Course Title

Hrs.

Cts.

Grd.

 

No.

 

Course Title

Hrs.

Cts.

Grd.

 

No.

Course Title

Hrs.

Cts.

Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

 

 

 

 

 

Total Term Hours:

 

 

 

 

 

Total Term Hours:

 

 

 

 

 

 

 

 

 

 

 

 

9. REVIEW: All of the above courses are required (as minimum) for the completion of the degree:

YES

 

NO (if no, list exceptions on reverside of this form).

 

 

 

 

Completion should result in

degree, during (Month, Year):

 

 

 

 

 

 

 

10.

SIGNATURE OF STUDENT:

 

11.

DATE: (MM/DD/YYYY)

 

 

 

 

12.

SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL):

13.

DATE: (MM/DD/YYYY)

 

 

 

 

 

USACC Form 104-R, SEP 13

Page 2 of 3

 

 

 

PLANNED ACADEMIC PROGRAM WORKSHEET

 

 

 

For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PA-C

 

 

 

 

 

 

 

 

 

 

STATEMENT OF UNDERSTANDING

We, the undersigned, hereby declare that the program outlined on the worksheet (on the reverse side of this statement) that

Cadet

 

is about to under take a formally structured program approved by

 

 

 

(FULL NAME, Last, First, MI)

 

 

(Name of University or College)

designed to meet the requirments of a

 

 

degree; that the degree to be attained is the culmination of an

 

 

 

(Type of Degree)

undergraduate college program of at least four years; and that the remaining credit hours shown on the worksheet are necessary either to fulfill

discipline requirements or to fulfill credit hour requirements, or both, for the attainment of the degree. If the Cadet is an ROTC Scholarship

participant, the scholarship will be in force for the number of semesters indicated in Block 5.

(Date) (MM/DD/YYYY)

(CADET SIGNATURE)

(Date) (MM/DD/YYYY)

(PROFESSOR OF MILITARY SCIENCE SIGNATURE)

USACC Form 104-R, SEP 13

Page 3 of 3

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Common mistakes

  1. Incomplete Personal Information: Many individuals forget to fill in all required personal details, such as their full name, academic major, and the date of form preparation. This oversight can lead to delays in processing and may even result in rejection of the application.

  2. Incorrect Course Information: Providing inaccurate course details, such as course numbers, titles, or credit hours, is a common mistake. Double-checking these entries is essential, as incorrect information can misrepresent a student's academic progress.

  3. Neglecting Signatures: Failing to obtain necessary signatures from both the student and the registrar can halt the processing of the form. It's crucial to ensure that all required signatures are present before submission.

  4. Overlooking Degree Requirements: Some applicants do not thoroughly review their degree requirements. This oversight can lead to listing courses that do not count toward their degree, jeopardizing their academic standing and ROTC eligibility.

Dos and Don'ts

When filling out the 104 R form, it is important to approach the process thoughtfully. Below are some guidelines to help ensure that you complete the form accurately and effectively.

  • Do double-check all personal information for accuracy, including your name and academic major.
  • Don't leave any required fields blank; incomplete information may delay processing.
  • Do consult with an academic advisor if you have questions about your academic plan.
  • Don't rush through the form; take your time to ensure all details are correct.
  • Do sign and date the form at the end to confirm your understanding and agreement.

Similar forms

The 104 R form, known as the Planned Academic Program Worksheet, bears similarities to the FAFSA (Free Application for Federal Student Aid). Both documents serve critical roles in the academic journey of students. The FAFSA collects financial information to determine eligibility for federal aid, while the 104 R focuses on academic planning for ROTC students. Both forms require personal details and academic history, ensuring that students meet the necessary requirements for their respective programs. Ultimately, both documents aim to support students in achieving their educational goals.

Another document akin to the 104 R form is the Degree Audit Report (DAR). A DAR provides students with a comprehensive overview of their completed and remaining coursework required for graduation. Like the 104 R, it tracks academic progress and helps students understand what is needed to fulfill their degree requirements. Both documents are essential tools for academic advising, ensuring that students stay on track toward their educational objectives.

The Academic Plan is yet another document similar to the 104 R form. This plan outlines a student’s intended course of study over a specified period, detailing the classes they plan to take each semester. Both documents require careful planning and consideration of course prerequisites and degree requirements. By creating an Academic Plan, students can visualize their academic trajectory, much like they do with the 104 R form.

The Transfer Credit Evaluation form also shares similarities with the 104 R. This document assesses which previously completed courses can be credited toward a new degree program. Both forms require detailed information about courses taken, grades received, and the institution where the courses were completed. They serve to streamline the academic process and ensure that students receive appropriate credit for their prior work.

The Enrollment Verification form is another document that parallels the 104 R. This form confirms a student’s enrollment status at an institution, which can be important for various purposes, including financial aid and insurance. Like the 104 R, it contains essential information about the student’s academic standing and progress. Both documents help verify that students are actively pursuing their educational goals.

For those navigating the process of vehicle ownership in Virginia, understanding the importance of documentation is crucial. The Virginia Motor Vehicle Bill of Sale serves as a key document to facilitate ownership transfer, much like how academic forms support students in their educational journeys. Just as a properly filled-out vehiclebillofsaleform.com/virginia-motor-vehicle-bill-of-sale-template/ ensures a smooth transaction and registration for buyers, academic forms like the 104 R guide students in meeting their program requirements and achieving their goals.

Similar to the 104 R, the Course Registration form is vital for students in managing their academic schedules. This form allows students to officially enroll in specific classes for a given term. Both documents require students to consider their academic plans and prerequisites, ensuring they are making informed decisions about their education. Course registration is a key step in the academic process, just as the 104 R is crucial for ROTC students.

The Academic Probation form also bears resemblance to the 104 R form. This document is used when a student’s academic performance falls below a certain threshold, prompting a review of their academic plan. Like the 104 R, it serves as a tool for academic advising, helping students understand their standing and the steps they need to take to improve. Both forms emphasize the importance of monitoring academic progress and making necessary adjustments.

Finally, the Student Academic Contract shares similarities with the 104 R form. This document outlines specific agreements between a student and their academic advisor regarding course completion and academic performance. Both forms emphasize the importance of planning and accountability in a student’s educational journey. They serve as frameworks to help students navigate their academic responsibilities effectively.